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Home My WebLink AboutWQ0006941_Monitoring - 04-2021_20210524Monitoring Report Submittal ........................................................................................................................................... Permit Number #* WQ0006941 Name of Facility:* Month:* April Report Information Stoney Creek Elementary School Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address:* Name of Submitter:* Signature: Date of submittal: Initial Review Year:* 2021 Upload Document* Stoney Creek_April.pdf 603.06KB FDF only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59). Jessica. Mize@pacelabs.com Jessica Mize jus l oil Reviewer: Williams, Kendall N 5/24/2021 This will be filled in automatically Is the project number correct? * WQ0006941 Is the monitoring report r Yes r No accepted?* Regional Office * Winston-Salem Accepted Date: 5/24/2021 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_ of —2— Permit No.: WQ0006941 Facility Name: Stoney Creek Elementary School County: Caswell Month: April li Flow Measuring Point: Parameter Monitoring Point: • • MEMO W MY M_W=�=EMEMMKEMIK� UTUM FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Name: Glenn Price Name: Certified Laboratories Name: Pace Analytical Services Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? V&priant ❑ Non -compliant If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective taxen. Aaacn aaanionai sheets it Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Glenn Price Permittee: Baron Neal MCDuffie ( Authorized Agent) Certification No.: 987931/20771 Signing Official: Baron Neal McDuffie Grade: 11 Phone Number: 336-996-2841 Signing Officials Title: Field Services Director ( Pace Analytical ) Has the ORC changed since the previous NDMR? ❑ Yes O No Phone Number: 336-996-2841 Permit Expiration: 8/31/2021 Signature Date Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and aA attachments were prepared under my direction or supervision to accordance with a system designed to assure that all qualified personnel property gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submltting false information, including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Was a suitable vegetative cover maintained on all sites as specified in your permit? Were all setbacks listed in your permit maintained for every application to each permitted site? Vamptlant ❑ Non -Compliant i�ompliant O Non -Compliant 2115mprent O Non -Compliant t 1S.0iant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? p'mpiiant El Non -Compliant If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective taxen. Attacn aaattionai sneets it Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Glenn Price Permittee: Baron Neal McDuffie (Authorized Agent) Certification No.: 987931/20771 Signing Official: Baron Neal McDuffie Grade: II Phone Number: 336-996-2741 Signing Officials Title: Field Services Director (Pace Analytical Services) Has the ORC changed since the previous NDAR-1? p yes [0 No Phone Number: 336-996-2841 Permit Exp.: 8131121 .--� .Y Signature Date Sig a Date By this signature. I certify that this report Is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617